HomeMy WebLinkAbout0018071-Plumbing (laterals) CITY OF OSHKOSH N° 18071
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG ELEC PLBG A SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS /3t 4 /j/ fi r C/1 PLAN NO.
OWNER i "L-- Zet-c
DESIGNER
USE /NATURE OF WORK SCifit-/ Ca-t/ �-"r G-"n "4--- j
BUILDING CONTRACTOR
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat A/C Vent Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR /Y 64.1 c J
BT WH Disp WSoft CBasin
Lav Sh DW DF (San. Sewer //4D°4----6--
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS 4. Water 1(09a)19.e..._
Other
2 a-0 er'U 1
FEES: Valuation rS Permit Fee Paid -E `J/ Park Dedication
ISSUED BY Date 7 7 Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 4 U
AGENT /0 DATE
ADDRESS
TELEPHONE
PLUMBING PERMIT APPLICATION G
ADDRESS nQ�"rzlp C.. DATE 3 -k/ -�O" PERMIT# lO b7 f
OWNER A (t' 1 s PLUMBER �l I //yi S Ccn" CTv�
NATURE OF WORK S c i 4- l.cl 477;"0-E1/4 �'C 7 ;"0-E1 /i
NEW RELAY REPAIR INTERIOR
SAN SEW '1
WATER /Y k Bathtub Catch Basin
STORM SEW Lavatory Grease Trap
Toilet Sump Pump
INSPECTION DATE INSPECTION DATE Kit. Sink Local Waste
Sink(other) Site Drain
J R h r r Shower Laundry Stand Pipe
Floor Drain Laundry Tray
Disposal Wat. Softner
Dishwasher D. Fountain
Water Heater Ejector
Urinals Future outlets
f** Violation notes on the reverse side'